Orthotics is the name given to shoe inserts that can be used to correct faulty movement or positioning of the foot. These can range from basic arch supports and wedges, to custom made devices that are the full length of the shoe.

For many conditions we see in our Dublin 4 clinic, from heel pain to back pain, our chartered physiotherapists will include a brief screening of the feet. We look for issues such as flat feet, high arches, bunions and skin condition. If issues are picked up in this screening a more detailed examination will be carried out. Often we find that changes in the biomechanics of the foot will impact on joints higher up. For example fallen arches are found with many people presenting with knee pain. In many cases supportive foot wear is all that’s needed to correct these issues. But for others an ‘off the shelf’ or custom made insole may be recommended. Your physiotherapist will discuss with you the benefits of various insoles versus the cost.

Here are some ways that orthotics can help certain conditions:

• Plantar fasciitis or plantar fascia heel pain is a condition which causes sharp pain in the sole of the foot. This pain is usually worst on the first step, when getting out of bed in the morning, or when getting up after sitting for long periods. This can be associated with arches that are either too high or too low. Orthotics can be used to correct the position of the foot and therefore take the pressure off the heel. In the short term cushioning may also be used under the heel for comfort.
• Bunions are a common source of pain and discomfort in the foot. Often these are associated with fallen arches. Correcting the fallen arches can really take the pressure off the bunion and relieve the pain.
• Patellofemoral pain syndrome is an overuse injury of the knee. Many factors contribute to this condition developing. One of these is foot biomechanics. Orthotics to correct foot position can be helpful in treating this condition.

Our physiotherapists Aileen MaGuire and Sarah Brady are experienced orthotic prescribers. Contact us to arrange an appointment and see if orthotics can be helpful for you.